Active NPI
Ryan Allen Bowman, LMP
- Massage Therapist
- Bellingham, WA
National Provider Identifier
1437665296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00024476
- Practice address
- 511 E Myrtle St
Bellingham, WA 98225-9822 - Phone
- (360) 342-4958
- NPI assigned
- Dec 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0010363 | CO | |
| Massage Therapist | 225700000X | MA00024476 | WA | Primary |
Addresses
Primary practice location
511 E Myrtle St
Bellingham, WA 98225-9822
Mailing address
511 E Myrtle St
Bellingham, WA 98225-5526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT.0010363 | Other | CO | MASSAGE LICENSE NUMBER |
| MA00024476 | Other | WA | MASSAGE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0010363 | CO | MD | Massage Therapist |
| MA00024476 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1437665296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E MYRTLE ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E MYRTLE ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982259822",
"telephone_number": "360-342-4958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "RYAN",
"middle_name": "ALLEN",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-15",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0010363",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00024476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE NUMBER",
"identifier": "MT.0010363",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE LICENSE NUMBER",
"identifier": "MA00024476",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.